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Home My WebLink About4-33-02 ------- Paid by CEMETER Y Receipt No. . .? r List Price $ ~.l ~9~ : ,Q9. .. . . . Net Paid $ ~,! ~?~ : ,~~ .. .. . 7/19/93 Lots - ~ 2 ....... Dated.,..................., -....... Bloet Maximum No. Burial Spaces.....,....... '.. . Uni t 4 NO. Monument permitted. . . .. . .. .. , .. . . . . . . , . . . 1412 (Dab above till. line for CIty Reeord oDly) <l.titl1 nf &rbnstinn "1412 <!rl'ml'tl'ry 1Bl'l'b NO, THIS INDENTURE MADE TIaJa 19th day of July , 93 A. D. 19......, between lhe City of Sebastian, a municipal corporation c"l.tlng under the law. of the Slale o( Florid.. a. Granlor alld Patricia J. Vilardi .....'............,................... '44 5 'Georgi'a' 'Bl vd.......'..'.......... ........,......,.................,........ ........"........., ............. ..... .~~bast~~~.!. .~~.?~.~~~., .~~??~...... o( the County of ..... ;I;1;l.Q..:i, 1m ..I!.;i, y:~.:r;:.. .. .. .. .. .. . .. .... anol State of .. .......... .F.l ()J: ~.q.~. .. . .. .... .................. .. Granle.. WITNESSETH, That the Gr.ntor for and In consideration of the sum of S ...~ .', g.Q9.: ~g:. .. ,. ,. .. . to It In hand paid, the receipt whereof Is herewith ac- knowledged, does by this Instrument grant, bargain, sell, release, convey and confirm unto the Grantee ~~,~. ... heirs, legal representatives and a..lgos the following property situated In Sebanian, Indian River County, Florida, to-wit: All of Lot(s) ), ~.~,. . Block, ~~,. . .. ,UNIT ,~..,.,...,. ,of Sebastian municipal cemetery as per Plat Number I thereof recorded In Plat Book 2, at page 6S of the pubUc records in the of lice of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being In Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solely and excluolvely for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Seba.tian, Florida, hereto- fore, now and hereaner adopted or provtded for tho government and operation of said cemetery. The conditions, restrictions .nd requirements contained In this instrument .hall be covenants running with the land. In the event of the fallur. of the owner of any property .ituated within ,aid cemetery to ob- serve and comply with ;uch rules, regulations, relOlutlon. and ordinances and the conditions of tho deed of conveyance thereof then the title of such owner in and to said property .hall terminate and the same shall revert to the CIty of Seba",lan, Florida. IN WITNESS WHEREOF, The said party of the lirst part ha. caused thl. Instrument to b. exeCllted in its name and on its behalf by It. Mayor and attested by Its City Clerk and Its corporate seal to be hereto afnxed, the day and year first above written. Altest(~~o.}{)i/~~.,..... (j City Clerk ::;;:;;;;;~ Slgn,od, SrRlm und DellYrr~d Inthe~eoh / ;;1\!~{~UU~~U..U..... ......... ..(y..4... .,??!~,. ....... ... ,... ((!tit\! %rlll) STATE OF FLOnmA CUl'NTY OF INDIAN RIVER 19th July 93 I HEnEny CERTIFY, That on this...,................,.. .day of .....,.........,.,........,.,.,..,....,...,.....,.., II...", Francis J, Oberbeck Kathryn M. O'Halloran b,'Iure me personnlly 8Pf'l'eftred .....................................'..............,.... and. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . re.".".lIvcly MAyor And City CI..k o( lh. Clly o( S.bROIIAn, . munld"AI corporntlon IInd.. lhe lows of lhc State of Florldo to m. known to be the Indh'idunlR Ilful ortlerrs described In find who execult!d the tort'golns cORveyftnee to Patricia u. Vilardi . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . .. . . .. . . . . . . . . . . . . ., amI sr.vera.lly Rclcnowleflgrd the exC"t'utlon therro' tn be thr.', rrC"~ n!'!t And ,ler.d 85 ~1Ieh OUICUH thereunto duly Hnthnrlzed; Rod that the Offieial SI!111 of 511hl cnrporn.Uon Is duly afftxC"d thereto, nnd the said COllvrYllncc I. the net IInd d..d 01 ..ld corpor.tlon. WITNESS lo.t .(or.s.ld. lJMI)A M. I.OHSt. Nowy ~..f1oItdI Mt CornmIlIIOn ElotIlNI.MC 1I,ltM OOMM' CO oa744 " Name /,..il j '. i .~ j\/ j"..j i l: /J.:.,,'/, /- I ~.~ ,'--. !....~.. I Unit i Block ':;.,;:; Lot :< Date of Burial. "7.- '<{'J ,- ,"', ~ O'I'..:J Time t Date of Mark-out --/- ,,;., /' ~: N~h1e of Funeral'Home __/-.....-\ .:J7-/;: ;",.f'\/ l< ;' S A"lho,;zed"'~ ~'4;;~6kfir?;t=;,~~ t 1 1 = State of Florida, Departmef Health and Rehabilitative Services, Vital.sties APPLICATION FOR BURIAL - TRANSIT PERMIT ?-- I) d- ,(J 3 3 vi A. 1. Name of Deceased (Type or Print) First Minnie Middle Last Gill DATE OF DEATH Month Day 07/28/93 Year A. 2. Place of Death County Indian River 3. Name of Medical Certifier Georde A. Mitchell 4. Name of Funeral Home/ Dir9Qt Qis~esQr, City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Sebastian Has ita Address Phone Number Roseland Strunk 5. Check a 0 Appro- priate Box b Q D.O. Physician Address 1623 North Central Avenue 13855 US#l Sebastian Lydo0 was contacted on 07/28/93 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that r.PfH.gP ~ Mi tl"'hp 11 I 0 0 will complete and sign the medical certification of cause of death. c 0 was contacted on . He/she verified that , Medical Examiner, will complete and sign the medical certification, 6. Place of Sebastian Final Disposition: 7. Funeral Director/ QirQ('t ni!';rosp.~ Removal from state Donation Date Signed ..." B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. o A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardShip would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. o No extension of time for filin e death ertificate requeste Registrar or Subregistrar Signature Permit No. 1228-93-0355 Date Issued: Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiners approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Methods of Disposition: . BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition :s .:::d~ i ~/Jnl 7 /~c /7 "3 .- - ~ t::,.;.,./ /<: / ,;- A! l/ / Signature of Sexton ) or Person-In-Charge ) /)1' .:.; I ,/ /, ,'\ ..,J:;::;, -J-e / This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton I and returned within 10 days to the local HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 I Repiaces Oct 87 edition wnlch may be used) (StocK Number: 5740-000-0326-21 -s.